| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,896 |
9,510 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,064 |
22,382 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,921 |
10,217 |
$188K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,341 |
5,995 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,170 |
3,983 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,597 |
2,558 |
$26K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,643 |
1,874 |
$26K |
| 90686 |
|
2,548 |
2,460 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
791 |
764 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
762 |
761 |
$14K |
| D1110 |
Prophylaxis - adult |
973 |
971 |
$14K |
| 98940 |
|
2,473 |
1,298 |
$14K |
| 0012A |
|
483 |
480 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
4,536 |
4,192 |
$13K |
| 0011A |
|
414 |
413 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
790 |
768 |
$9K |
| D0274 |
Bitewings - four radiographic images |
1,026 |
1,018 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
163 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,444 |
2,257 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,087 |
3,013 |
$5K |
| 97803 |
|
323 |
311 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
724 |
625 |
$4K |
| 99215 |
Prolong outpt/office vis |
116 |
105 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
106 |
$4K |
| 97802 |
|
138 |
136 |
$4K |
| 90682 |
|
142 |
138 |
$4K |
| 0064A |
|
89 |
88 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
301 |
288 |
$2K |
| 90677 |
|
15 |
14 |
$2K |
| 90715 |
|
60 |
60 |
$2K |
| 90461 |
|
158 |
138 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
171 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
52 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| D1120 |
Prophylaxis - child |
106 |
106 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
86 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
51 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
50 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
14 |
$791.75 |
| 0071A |
|
20 |
20 |
$640.00 |
| 90656 |
|
89 |
87 |
$547.92 |
| 0072A |
|
14 |
14 |
$520.00 |
| 0004A |
|
13 |
13 |
$480.00 |
| 0002A |
|
12 |
12 |
$440.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$423.25 |
| 81002 |
|
799 |
509 |
$404.27 |
| 0031A |
|
16 |
16 |
$400.00 |
| D0270 |
|
173 |
170 |
$399.00 |
| D0330 |
Panoramic radiographic image |
45 |
44 |
$393.75 |
| 90620 |
|
15 |
14 |
$345.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,274 |
1,274 |
$338.31 |
| 90480 |
|
12 |
12 |
$320.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$312.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,685 |
1,496 |
$283.71 |
| 90674 |
|
14 |
14 |
$247.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$178.27 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$140.00 |
| 99441 |
|
64 |
63 |
$139.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$81.05 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
815 |
737 |
$70.24 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
316 |
285 |
$34.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
53 |
$33.00 |
| 99000 |
|
50 |
48 |
$21.28 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$20.00 |
| 99173 |
|
16 |
16 |
$7.27 |
| 91301 |
|
955 |
929 |
$0.00 |
| 91306 |
|
62 |
62 |
$0.00 |
| 91307 |
|
29 |
28 |
$0.00 |
| J0578 |
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
45 |
40 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
66 |
$0.00 |
| 91300 |
|
99 |
96 |
$0.00 |
| 99442 |
|
21 |
21 |
$0.00 |
| 80306 |
|
137 |
117 |
$0.00 |